| Dr Nicholas Lariccia, MD | |
| 14551 Hope Center Loop Ste 100, Fort Myers, FL 33912-4705 | |
| (239) 936-2316 | |
| (239) 834-6106 | 
| Full Name | Dr Nicholas Lariccia | 
|---|---|
| Gender | Male | 
| Speciality | Radiology - Diagnostic Radiology | 
| Location | 14551 Hope Center Loop Ste 100, Fort Myers, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1073048484 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | ME164606 (Florida) | Primary | 
| 2085R0202X | Radiology - Diagnostic Radiology | 87931 (South Carolina) | Secondary | 
| Entity Name | University Medical Associates Of The Medical University Of South Carol | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1043241110 PECOS PAC ID: 6305758574 Enrollment ID: O20031105000291 | 
| Entity Name | Mchenry Radiologists And Imaging Associates Sc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1083637094 PECOS PAC ID: 7810959004 Enrollment ID: O20230512000112 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Nicholas Lariccia, MD 3660 Broadway, Fort Myers, FL 33901-8005 Ph: (392) 936-2316 | Dr Nicholas Lariccia, MD 14551 Hope Center Loop Ste 100, Fort Myers, FL 33912-4705 Ph: (239) 936-2316 | 
| Stuart A Bobman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 14551 Hope Center Loop Ste 100, Fort Myers, FL 33912 Phone: 239-936-2316 | |
| Victor H Gregory, DO Radiology Medicare: Not Enrolled in Medicare Practice Location: 3680 Broadway, Fort Myers, FL 33901 Phone: 239-936-2316 | |
| Dr. Mai F Saif, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 63 Barkley Cir, Ste. 100 & 101, Fort Myers, FL 33907 Phone: 239-938-3500 Fax: 239-278-0588 | |
| Dr. Thomas Anderson Elkins, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 14551 Hope Center Loop Ste 100, Fort Myers, FL 33912 Phone: 239-936-4068 Fax: 239-936-6989 | |
| Mitchell Martinez, MD Radiology Medicare: Medicare Enrolled Practice Location: 14551 Hope Center Loop Ste 100, Fort Myers, FL 33912 Phone: 239-936-2316 Fax: 239-834-6106 | |
| Peter H. Blitzer, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 7341 Gladiolus Dr, Fort Myers, FL 33908 Phone: 239-489-3420 Fax: 239-489-3219 | |
| Dr. Michael J Weiss, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 63 Barkley Cir, Ste. 100 & 101, Fort Myers, FL 33907 Phone: 239-938-3500 Fax: 239-278-0588 |